Valleygate Surgery Center-Midland LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VALLEYGATE SURGERY CENTER-MIDLAND LLC

Practice address

3225 Sunset Blvd
West Columbia, SC 29169-3453

Phone

(910) 406-9455

Fax

(910) 759-7441

NPI assigned

Jul 14, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Virginia Jones

Title

Chief Executive Officer

Phone

(910) 406-9455

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1093634891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87701",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047701",
            "telephone_number": "910-406-9455",
            "fax_number": "910-759-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693453",
            "telephone_number": "910-406-9455",
            "fax_number": "910-759-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYGATE SURGERY CENTER-MIDLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-406-9455"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Michelle Vaccaro, NP-C
• Alison H. Valdepenas, D.P.T.
• Sean James Valdepenas, PT
• Alfredo Vallejo, DC
• Grace Kelly Vallejo, MD
• Jacquelyn F Van Dam, MD
• Jennifer Rose Van Hook, DMD
• Stephen Earl Van Horn, Jr Jr., MD
• Todd L Vandenberg, MD
• Brianna Elizabeth Vanderhoof

• Ambulatory Surgical Clinic/Center in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.